3min chapter

Emergency Medicine Cases cover image

Ep 152 The 7 Ts of Massive Hemorrhage Protocols

Emergency Medicine Cases

CHAPTER

The Indication for TXA and the Trauma Patient?

The indication for giving TXA and the trauma patient is if you're giving blood, give TXA, the earlier the better. We try to operationalize the one gram followed by a second gram, either by an infusion or a second bolus. And we know that a substantial portion of patients don't have good inhibition of their hyperfibrillant lysis with a single gram. So just to make things easy, we give two grams and then we move on to all the other things that we have to do for these patients.

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